The terms medical record, health record and medical chart are used somewhat
interchangeably to describe the systematic documentation of a single patient's medical history
and care across time within one particular health care provider's jurisdiction. The medical
record includes a variety of types of "notes" entered over time by health care professionals,
recording observations and administration of drugs and therapies, orders for the administration
of drugs and therapies, test results, x-rays, reports, etc. The maintenance of complete and
accurate medical records is a requirement of health care providers and is generally enforced as
a licensing or certification prerequisite.
The terms are used for both the physical folder that exists for each individual
patient and for the body of information found therein.
Narrative Summarization of Medical Records
Medical summaries form the essence for resolution of personal injury cases,
Medical malpractice or medical injury, Insurance claim. It describes the accident, the mechanism
of injury and the immediate care provided at the scene and in the emergency room, in a
summarized form. Records of hospital stay, subsequent treatment by the physicians are
summarized. Scriptyum India Pvt. Ltd. has a competent and extensively trained team of nurses and
medical/paramedical staff apart from its attorneys, to attend to summarization of medical
The medical summarization indicates and highlights medical information which
helps legal experts in identifying the case’s strengths and weaknesses. The arrangement of
medical records in a chronological order assists in easy visualization of treatment timeframe.
The organization of medical records summary helps to decrease review time by 25% to 40%. Medical
Summarization provides an easy and simplified review process for legal experts.
Organization of Medical Records
Each hospital has its own procedures for organizing a medical record. Most of
the time, this will be done by the medical records department, also known as the Health
Information Department. Usually, the record will be organized in terms of the temporal sequence
of events with the latest admission located at the front of the medical record. After the
patient is discharged from the hospital, a summary of the patient's diagnoses and treatments may
be prepared by the attending physician and inserted at the front of the medical record. This
summary can be used as a guide to ensure that reports are not overlooked. Abstracting should,
however, directly be done from the actual reports in the record and not from the point of view
of the attending physician. Usually, dictation occurs after the patient is discharged from the
hospital, possibly from inadequate notes or an incomplete medical record.
In some facilities, a copy of the tumor registry abstract is kept in the
patient's medical record. It acts as a handy summary of the history, diagnoses and treatment.
Not only is the abstract a useful service to physicians, but it also makes them aware of the
registry as a source of cancer data available in their own hospital.
Electronic sorting and Categorizing
Scriptyum India Pvt. Ltd. understands the importance of organized medical
records and hence provides high-level medical records indexing, categorizing and sorting
services. With systematic organized electronic medical records, the reviewer can quickly
navigate the archives and easily review the necessary documents, greatly reducing reviewer's
time spent on case evaluation.
Annotated Index of Medical Records
Indexing medical records is a vital function within any healthcare facility and
needs to be managed diligently with great attention to accuracy and detail. We offer
high-quality professional indexing services to help you manage patient records and related
documents in a systematic and well-organized environment. Our well-designed indexing system
helps in the comprehensive management of patient's medical data, including demographic data,
treatment-related information, clinical history, medical reports, health insurance ID, insurance
entitlements and health service provider notes.
Scriptyum India Pvt Ltd. Provides easy navigation within the organized
electronic medical records to save reviewer’s time. Hyperlinked medical records are created to
allow reviewers to instantly locate and access the required documents. On demand, our hyperlink
services go hand-in-hand with our Summary Services and Electronic Sorting and Categorizing of
Medical Records services.
As we move into the digital world, paper medical records are typically scanned
and converted to PDF files. Unfortunately, in these scanned PDF files, reviewers cannot search a
critical word or easily locate specific information.
Scriptyum India Pvt. Ltd. now converts basic scanned PDF files into a
Searchable PDF file format that permits effective and easily searchable options. Reviewers save
significant time and instantly pinpoint all mentions of these important keywords.
Whenever needed, the reviewer simply prepares the list of keywords that are
relevant to the claims. Then, using Scriptyum India Pvt Ltd. Searchable PDF file, the reviewer
instantly searches & locates the required information.
Identifying Missing Medical Records
Scriptyum India Pvt Ltd. provides this service for any client where
identifying and accessing all available medical records are critical. Trained Scriptyum India
Pvt Ltd. staff read through the medical files in order to identify missing medical providers’
medical records and notes.
Medical Data Extraction
Solve the challenges of extracting critical medical information and common
facts from large volumes of cases prior to merit review, medical-legal analysis and case
preparation. We take on the tedious and time consuming medical data extraction and file
organizing tasks in an extremely time and cost efficient manner. When you think about deploying
your firm's resources, consider Scriptyum India Pvt. Ltd.
This specialized support is provided to assist Defense and Plaintiff Attorneys
who litigate class actions, environmental & toxic torts and product liability cases.